Skip to main content

Inpatient

Description

Hospital discharge data received by public health agencies has a reporting lag time of greater than six months. This data is often used retrospectively to conduct surveillance to assess severity of illness and outcome, and for evaluating performance of public health surveillance systems. 

With the emergence of Health Information Exchanges and Regional Health Information Organizations (RHIOs), inpatient data can be available to public health in near real-time. However, there currently are no established public health practices or information systems for conducting routine surveillance in the inpatient setting. 

Through a contract with the Centers for Disease Control and Prevention, New York State Department of Health

initiated the development of a statewide public–health Health Information Exchanges with New York RHIOs. Daily

minimum biosurveillance data set data-exchange implementation, and evaluation efforts were focused on one RHIO (RHIO A) and one participating hospital system composed of five acute-care facilities.

 

Objective

The objective of this paper is to assess the potential utility of inpatient minimum biosurveillance data set data obtained from RHIOs for pneumonia and influenza surveillance.

Submitted by hparton on
Description

The Veterans Affairs (VA) ESSENCE obtains electronic health record data from 152 medical centers plus clinics in all 50 states, U.S. territories, and the Philippines. ESSENCE analyzes ICD-9 diagnosis codes and demographic data from outpatient and emergency department visits using complex aberrancy-detection algorithms. In 2010, a new instance was stood up (VA Inpatient ESSENCE) which receives weekly feeds of inpatient data from all VA acute care hospitals starting at the beginning of the Fiscal Year (FY10, Oct. 1, 2009). Data include demographics, admission/discharge data (including ICD-9 diagnosis codes), diagnosis related group, bedsection, procedure and surgery data.

 

Objective

To describe the utility of inpatient data in VA ESSENCE biosurveillance system for healthcare-associated infection and public health surveillance.

Submitted by elamb on
Description

CVD is one of the leading causes of death in the US, with 800,000 deaths being linked to CVD every year. Recently, the CDC reported that 1 in 4 of these deaths could be prevented by lifestyle changes, creating healthier living spaces, as well as managing high cholesterol, blood pressure and diabetes levels [1]. The report also stressed the importance of electronic health records (EHR) in identifying patients with CVD risk factors [1]. Surveillance is a critical component of national effort to prevent CVD [2]. The Nebraska Department of Health and Human Services (NDHHS) has traditionally tracked the burden of chronic diseases by retrospective analysis of hospital discharge data (HDD). However, HDD is limited by its lack of immediate availability and its limited amount of data. Timeliness of detection and analysis of CVD events could be improved with syndromic surveillance. To enhance CVD surveillance in Nebraska, NDHHS implemented a near-real_time IP surveillance system in 2011. This surveillance system facilitates near-real_time assessment of CVD risk factors, outcomes, and prevention program efficacy.

Objective

The main objective of this project is to expand inpatient syndromic surveillance in Nebraska to include indicators of Cardiovascular Disease (CVD).

Submitted by knowledge_repo… on
Description

MUse will make EHR data increasingly available for public health surveillance. For Stage 2, the Centers for Medicare & Medicaid Services (CMS) regulations will require hospitals and offer an option for eligible professionals to provide electronic syndromic surveillance data to public health. Together, these data can strengthen public health surveillance capabilities and population health outcomes (Figure 1). To facilitate the adoption and effective use of these data to advance population health, public health priorities and system capabilities must shape standards for data exchange. Input from all stakeholders is critical to ensure the feasibility, practicality, and, hence, adoption of any recommendations and data use guidelines.

Objective

To develop national Stage 2 Meaningful Use (MUse) recommendations for syndromic surveillance using hospital inpatient and ambulatory clinical care electronic health record (EHR) data

Submitted by uysz on
Description

It is estimated that in the United States (US), unintentional non-fire related CO poisoning causes an average of 439 deaths annually, and in 2007 confirmed CO poisoning cases resulted in 21,304 ED visits and 2,302 hospitalizations (71 per million and 8 per million population, respectively)1 . Despite the significant risk of morbidity and mortality associated with CO poisoning, existing surveillance systems in the United States are limited. This study is the first to focus specifically on CO poisoning trends within the VHA population.

Objective

To describe characteristics of Veterans Health Administration (VHA) patients with ICD 9/10 CM inpatient discharge and/or emergency department (ED)/urgent care outpatient encounter codes for carbon monoxide (CO) poisoning.

 

Submitted by uysz on
Description

The ICD-9 codes for acute respiratory illness (ARI) and pneumonia/influenza (P&I) are commonly used in ARI surveillance; however, few studies evaluate the accuracy of these codes or the importance of ICD-9 position. We reviewed ICD-9 codes reported among patients identified through severe acute respiratory infection (SARI) surveillance to compare medical record documentation with medical coding and evaluated ICD-9 codes assigned to patients with influenza detections. 

Submitted by Magou on
Description

Firearm violence is an issue of public health concern leading to more than 30,000 deaths and 80,000 nonfatal injuries in the United States annually. To date, firearm-related studies among Veterans have focused primarily on suicide and attempted suicide. Herein, we examine firearm violence among VHA enrollees for all manners/ intents, including assault, unintentional, self-inflicted, undetermined and other firearm-related injury encounters in both the inpatient and outpatient settings. 

Submitted by Magou on
Description

Recommendations from the ISDS Meaningful Use Workgroup.

Status
Active
Member Access Level
Public
Author
Primary Topic Areas
Original Publication Year
2012
Event/Publication Date
Next Review Date
Submitted by elamb on